ANTRANIK MANGARDICH (NPI# 1033559620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033559620 |
| Entity Type | Individual |
| Full Name | ANTRANIK MANGARDICH |
| Credential | MD |
| Practice Address |
1300 S Columbia Rd Grand Forks ND 58201 |
| Mailing Address |
1300 South Columbia Road Grand Forks ND 58201 |
| Practice Telephone | 7017802300 |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 15289 | ND | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
15289 | ND | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
15289 | ND | Allopathic & Osteopathic Physicians |
| Street Address |
1300 S COLUMBIA RD |
| City | GRAND FORKS |
| State | ND |
| Zip Code | 58201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073512885 | Bradley P Belluk | Surgery | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2005-07-14 |
| 1306464219 | Leanne Kilzer | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2020-07-07 |
| 1952957847 | Arthur Thorsen | Physician Assistant | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2019-08-15 |
| 1194386581 | Marlie Borowicz | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-26 |
| 1881255503 | Jenna Arnold | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2019-06-24 |
| 1720560600 | Maddie Victoria Bjornstad | Occupational Therapist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-09-06 |
| 1609352657 | Jenna Carpenter | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-12 |
| 1053897074 | Laura Goor | Nurse Practitioner | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2018-07-12 |
| 1700362969 | Emily Kay Voeller | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-11 |
| 1942796115 | Alison Schoenborn | Speech-Language Pathologist | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2018-07-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255965398 | Development Homes Inc | Intermediate Care Facility, Mentally Retarded | 5509 Cottonwood Street, Grand Forks, ND 58201 | 2020-02-27 |
| 1932753779 | Lydia Pansegrau | Occupational Therapist | 2950 36th Ave S, Apt A-11, Grand Forks, ND 58201 | 2019-07-30 |
| 1407416019 | Kristina Aikens | Optometrist | 1820 S 42nd St, Grand Forks, ND 58201 | 2019-06-17 |
| 1861963209 | Jessica Kovsky | Occupational Therapist | 1375 S Columbia Rd- Altru Performance Center, Grand Forks, ND 58201 | 2018-12-11 |
| 1609345834 | Altru Specialty Services, Inc | Durable Medical Equipment & Medical Supplies | 1375 South Columbia Road, Suite A, Grand Forks, ND 58201 | 2018-11-16 |
| 1225523004 | Alicia Mae Mack | Registered Nurse | 212 S. 4th St. Suite 301, Spectra Health, Grand Forks, ND 58201 | 2018-06-25 |
| 1396260808 | Amber White | Behavior Technician | 2016 S Washington St., Grand Forks, ND 58201 | 2017-08-04 |
| 1225579840 | Kathleen Suzanne Tillman | Psychologist | 2100 S Columbia Road, Suite 202, Family Institute, PC, Grand Forks, ND 58201 | 2017-03-15 |
| 1881148906 | Melissa Pytlik Monson | Physician Assistant | 1380 S Columbia Rd - Altru Family Medcine Center, Grand Forks, ND 58201 | 2016-08-05 |
| 1477936029 | Laura Jane Carlson | Nurse Practitioner | 3165 Demers Avenue - Truyu Aesthetic Center, Grand Forks, ND 58201 | 2015-07-01 |
| Find all providers in zip 58201 | ||||
| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235544313 | Oscar Luis Llanos Ulloa | Internal Medicine | 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 | 2014-06-26 |
| 1871934083 | Maria Isabel Pino Argumedo | Internal Medicine | 1300 S. Columbia Rd, Grand Forks, ND 58201-4012 | 2013-07-16 |
| 1558677310 | Zulfiqar Ali | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201-4012 | 2010-08-30 |
| 1710047600 | Umamaheswara R Mudireddy | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2006-12-11 |
| 1942307723 | Wayne R Breitwieser | Internal Medicine | 1300 S Columbia Rd, Grand Forks, ND 58201 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851602999 | Venkat Kiran Kanchustambham | Internal Medicine | 801, Broadway N, Fargo, ND 58102 | 2010-06-23 |
| 1659462455 | Seema Khosla | Internal Medicine | 4152 30th Ave S, Suite 103b, Fargo, ND 58104-8403 | 2006-09-27 |
| 1609825132 | Pedro G Mendoza | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-05-10 |
| 1437143427 | Adam John Glazier | Internal Medicine | 2101 Elm St N, Fargo, ND 58102-2417 | 2005-09-06 |
| 1467755165 | Praveen Jinnur | Internal Medicine | 1702 University Dr S, Fargo, ND 58103-4940 | 2010-12-19 |
| 1275696601 | Shaher M Samrah | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-12-18 |
| 1831283936 | Haven R Malish | Internal Medicine | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-10-03 |
| 1124119078 | James Hughes | Internal Medicine | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-27 |
| 1891894747 | Nicholas Neumann | Internal Medicine | 300 W Century Ave, Bismarck, ND 58503-1401 | 2006-09-21 |
| 1982703849 | Monica Paulo | Internal Medicine | 310 N 10th St, Bismarck, ND 58501-4516 | 2006-09-21 |
| Find all providers with the same taxonomy | ||||
| City | GRAND FORKS |
| Zip Code | 58201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.